Dahla, Amy
Dahla, Amy is an individual health care provider with primary practice located at 140 S Holly St , Medford OR 97501-3113. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dahla, Amy can be contacted via phone (541) 774-8201.Contact Information
Primary practice address
140 S Holly St
Medford OR 97501-3113
Phone: (541) 774-8201
Fax: (541) 774-7979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 15947 | California |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C4743 | Oregon |
Profile Details
| NPI number | 1598133415 |
|---|---|
| LBN Legal business name | Dahla, Amy |
| Credentials | LPC, LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2015 |
| Last updated | Mar 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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